Discover and read the best of Twitter Threads about #cerebralhemorrhage
Most recents (1)
Inspired by @BenMazer and the topic of #platelet #transfusion in #cerebralhemorrhage patients previously taking anti-platelet therapy, I want to take a few minutes to talk about the EVIDENCE in platelet transfusion indications, thresholds, and efficacy. #blooducation
To recap, the PATCH trial (Lancet 2016) concluded that in patients taking anti-platelet medications (aspirin, plavix, etc) who had spontaneous cerebral hemorrhage, platelet transfusion was assc with WORSE outcomes than standard medical therapy. 
This is shocking? Right? Here's the classic logic:
-ICH is bad
-ICH is worse if your platelets are iatrogenically broken
-Non-broken platelets are good
-Transfusion of non-broken platelets helps stop the bad bleed
-ICH is bad
-ICH is worse if your platelets are iatrogenically broken
-Non-broken platelets are good
-Transfusion of non-broken platelets helps stop the bad bleed
